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Suture in oral surgery. A comparative study.

C Arcuri1, F Cecchetti, M Dri

  • 1Dentistry Unit, San Giovanni Calinita Fatebenefratelli Hospital, Isola Tiberina, Rome, Italy. arcuri@med.uniroma2.it

Minerva Stomatologica
|February 24, 2006
PubMed
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This study compared four suture materials in oral surgery. While short-term tissue responses varied, all suture types showed similar clinical healing after 90 days.

Area of Science:

  • Oral Surgery
  • Biomaterials Science

Background:

  • Suture material selection impacts surgical outcomes.
  • Understanding in vivo performance of common oral surgery sutures is crucial.

Purpose of the Study:

  • To evaluate and compare the in vivo behavior of four distinct suture materials (Ethibond Excel, Monocryl, silk, and Vicryl) in oral surgery.
  • To assess clinical aspects including handling, node security, thread resistance, plaque accumulation, and tissue response over short (3 weeks) and long (90 days) terms.

Main Methods:

  • A prospective study involving 52 new cases, following up on 55 initially included subjects.
  • Objective parameters assessed included intraoperative handling, node stability, thread integrity, plaque index (Visible Plaque Index), suture loss rate, adverse reactions, and healing status at 90 days.

Related Experiment Videos

Main Results:

  • Significant differences in plaque accumulation and tissue response were observed within the first three weeks post-surgery.
  • No statistically significant differences were found in suture loss rates or adverse reactions between the materials during the critical early postoperative period.
  • At 90 days, all suture materials demonstrated comparable clinical healing outcomes and dental-periodontal status.

Conclusions:

  • While early postoperative performance varied among suture materials, long-term clinical healing at 90 days was consistent across Ethibond Excel, Monocryl, silk, and Vicryl in oral surgery.
  • The choice of suture material may be more critical during the initial healing phase than for the final 90-day outcome.